Clinicians

Each inpatient pathway has a nationally determined service specification which can be found on the NHSE website. 

Referrers should be aware that as well as the acceptance and exclusion criteria, the Access Assessor will determine:

• If admission to inpatient care is clinically indicated and in the young person's best interest, ensuring that alternatives to admission have been exhausted.
• The views of the young person and their family / carer(s) have been considered.
• The clinical urgency of the admission, if required.
• Where admission is required, identify the appropriate level of security and treatment pathway needed under the principle of care in the least restrictive setting.
• The goals of admission and the young person's treatment needs and that there is a clear discharge / exit strategy from inpatient care at the point of referral and that these have been discussed / agreed with the young person and their family / carer(s) 

 

Before making a referral

• The person with the most up to date and historical knowledge about the young person will complete the referral form.
• Assurances provided that every other option has been explored must be made explicit in the referral form. All areas within the collaborative have an enhanced care pathway via Tier 3.5 services. The expectation is that young people will have been considered for and / or are accessing this prior to referral. 
• The referral must be endorsed by a consultant psychiatrist within the community tea
• The referral must be discussed with the young person and their family / carers, and their consent sought.
• If consent is not given by either the young person or their family, then this needs to be made explicit and the appropriate legal authority established; it is important that there is clarity and transparency in this process.
• If there are differences of opinion between clinicians, the family, or the young person, these should be explicitly stated including what support is being offered to the family in these cases.
• If the young person has a learning disability and/or autism, then a CETR must be completed before the referral is made. In the case of emergency referrals, efforts must be made to organise a LAEP (Local Area Emergency Protocol).
• If there is social care involvement, then the referral must be discussed with the social worker involved and there is an expectation that social care will be part of the assessment process.
• If a social care placement is at risk of breaking down, then from the point of referral, there must be a plan for pursuing alternative placements, to ensure timely discharge.
• It is accepted that in very exceptional cases, where a referral is an emergency some of the above criterion may not be achieved, for example there may not always be the opportunity to contact a young person social worker if the young person has presented in an emergency at the weekend.

 

Completing the referral form: 

• Referrals must be made on the NHSE referral form (see below). 
• The form must be filled in accurately and with sufficient detail. 
• All parts of the form must be completed without exception. 

The referral form should be sent to the East Midlands SPoR via the inbox: eastmidlandscamhspcreferrals@nhft.nhs.uk 

Once the referral has been received by the SPoR: 

The referrals inbox is managed by the SPoR co-ordinator, in hours (Monday - Friday, 8:30 - 4:30pm excluding bank holidays).

• Incomplete forms will be returned to the referrer by the SPoR co-ordinator with specifics of the additional information needed as indicated on the referral checklist

 

Out of hours

The referral should be sent to hopewoodreferrals@nottshc.nhs.uk and will be reviewed by our senior nursing colleagues on site.